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STATEMENT OF ECONOMIC INTERESTS <br />1. Office, Agency, or Court <br />Name of Office, Agency, or Court: <br />-Ptieeoa4 Cos 3 4C1,,~. <br />Division, Board, District, if applicable: <br />Your Position: <br />O_A~2) Wt v~ L I i Y ~C> <br />► If filing for multiple positions, list additional agency(ies)1 <br />position(s): (Attach a separate sheet if necessary.) <br />Agency: <br />Pcsition: <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State <br />❑ County of <br />vut~LS +t~ <br />ity of <br />❑ Multi-County <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />❑ Assuming Office/initial Date: <br />nnual: The period covered is January 1, 2009, <br />through December 31, 2009. <br />-or- <br />0 The period covered is through <br />December 31, 2009, <br />❑ Leaving Office Date Left: -J <br />(Check one) <br />O The period covered is January 1, 2009, through the <br />date of leaving office. <br />-or- <br />0 The period covered isJ , through <br />the date of leaving office. <br />❑ Candidate Election Year: <br />COVER PAGE <br />to _ <br />aver t~ <br />~1;.-t I tai <br />,~i " 2510 <br />4. Schedule Summary <br />► Total number of pages <br />including this cover page: <br />► Check applicable schedules or "No reportable <br />interests." <br />have disclosed interests on one or more of the <br />attached schedul;Y- : <br />Schedule A-1 schedule attached <br />Investments (Less than 10% ownership} <br />Schedule A-2 ❑ Yes - schedule attached <br />Investments (10% or Greater Ownership) <br />Schedule B Yes - schedule attached <br />Real Property <br />Schedule C es - schedule attached <br />Income, Loans, & Business Positions (Income other than Gifts <br />and Travef Payments) <br />Schedule D ❑ Yes - schedule attached <br />Income - Gifts <br />Schedule E ❑ Yes - schedule attached <br />Income - Gifts - Travel Payments <br />-or- <br />F-] No reportable interests on any schedule <br />5. Verification <br />I have used all reasonable diligence in preparing this <br />statement. I have reviewed this statement and to the best <br />of my knowledge the information contained herein and in any <br />attached schedules is true and complete. <br />I certify under penalty of perjury under the laws of the State <br />of California that the foregoing is true and correct. <br />Date Signed <br />Signature <br />your filing official.) <br />FPPC Form 700 (200912090) <br />FPPC Toll-Free Helpline: 866tASK-FPPC www.fppc.ca.gov <br />x:19 <br />A Public Document ~=~r _ <br />Please type or print in ink. <br />